Explanation to Parents: Media Release Form

There are several times during the school when the news media or school personal asks to interview and/or photograph many of our students.

Sometimes television stations request a taping in a successful classroom or an interview with a winning team or a Most Valuable Player. A newspaper reporter may ask to interview an academic contest winner or member of our band, choir, ROTC or any other team, organization or individual. If your are willing for this to occur, we request that you complete the form below and send it to your child’s homeroom teacher. It will remain on file at the school.

There will also be times when pictures and/or information about contest winners, student’s work, as well as students life on campus will be posted on the School’s web page. This media release form will serve as permission to post such information as needed.

HISD MEDIA RELEASE FORM

I hereby give permission to the school/news media to photograph/interview my child. It is my understanding that this photograph/interview or portions thereof will be used for public view.

I agree to participate in these project without financial remuneration, and I understand that this releases the school/photographer/interviewer from any future claims, as well as from any liability, arising from the use of the said photograph/interview.

Name of Child: ________________________________________

(please print or type)

Address: _____________________________________________

City, State, ZIP: _______________________________________

Signature of parent or guardian: ___________________________

Date: _________________

Please return this form signed to your homeroom teacher.